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Contact Information

KELLY M GRANGER, PSY.D.
222 W MAIN ST STE 101
TUSTIN, CA92780
 Phone: 949-381-1519
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KELLY M GRANGER · (Female)

NPI Number 1164686515
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 07/15/2008
Last updated 05/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PSY28523
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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